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Overview

MedClarity offers medical billing and claims management tools that support healthcare providers in handling revenue cycle tasks such as insurance verification, claims processing, and payment tracking. While some users report occasional integration issues with external systems, its reporting and billing workflows support structured financial operations in clinical settings.

MedClarity Specifications

  • Appointment Management/Scheduling
  • e-Prescriptions
  • Lab Integration
  • Patient Portal

MedClarity Features

Rules-Based Claims Engine

The software runs claims through an automation and rules engine before they are submitted to payers. The engine applies predefined rules during the scrubbing process, reviewing each claim for issues that would otherwise require correction after the fact. Billing teams work through flagged items while the claim is still in-house, before it moves further in the submission workflow.

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Patient Records Management

MedClarity stores patient records within the same system as scheduling and billing, rather than in a separate tool. Staff can access clinical and administrative information during routine tasks without leaving the platform, keeping relevant data available across the different operational areas the software covers.

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Claims Aging Algorithm

The platform includes a proprietary algorithm that organizes unpaid claims by how long they have been outstanding. The algorithm structures the claims follow-up queue based on time elapsed, giving billing teams a consistent method for working through unresolved items in the AR workflow.

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Real-Time Eligibility Verification

MedClarity’s real-time insurance eligibility verification makes it easier for healthcare providers to quickly check a patient’s coverage and benefits directly within the platform, without having to switch between different systems. It pulls up-to-date information from insurance databases, helping reduce claim denials caused by inactive or expired coverage.

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Smart Scheduler

This functionality helps make daily front-desk work easier by bringing everything related to appointments into one place. It tracks appointment status in real time, verifies insurance eligibility ahead of visits, and clearly shows copay information so staff know what to expect.

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Pros And Cons of MedClarity

Pros

  • Reduces claim errors before submission to insurance payers

  • Helps teams prioritize unpaid claims based on aging

  • Keeps scheduling, billing, and records within one system

  • Gives staff access to real-time insurance eligibility information

  • Supports billing operations in high-volume medical practices

Cons

  • Some workflows may depend on external EHR compatibility

  • Initial setup may require configuring billing workflow rules

  • Initial setup may require configuring billing workflow rules

MedClarity Reviews

Total 8 reviews

4.6

All reviews are from verified customers

Rating Distribution

5

Stars

63%

4

Stars

38%

3

Stars

0%

2

Stars

0%

1

Stars

0%

Share your experience

L

lynn

Health, Wellness and Fitness, 101-500 employees

4.0
November 2018

“Good software”

Pros

MedClarity is praised for its ease of use, cloud-based accessibility, and efficient patient tracking features.

Cons

Similarly, I didn't find anything in particular that I disliked.

Rating Distribution

Ease of use

8

Value for money

8

Customer Support

10

Functionality

8

J

Jennifer

Medical Practice, 1-10 employees

More than a year

5.0
August 2018

“User friendly medical practice management software”

Pros

MedClarity offers user-friendly features with a built-in 'help' button guiding users to the online manual, simplifying training for new employees. Users can customize schedules, appointment types, and more, while the reporting function allows for comprehensive data retrieval tailored to specific needs.

Cons

I don't have any complaints. The software meets all our needs perfectly.

Rating Distribution

Ease of use

10

Value for money

10

Customer Support

9

Functionality

10

S

Shelby

Financial Services, 1-10 employees

Less than 6 months

5.0
March 2018

“Fast pay!”

Pros

This software stands out for its ability to expedite claim payments compared to other billing software options.

Cons

I can't find a single fault with Medclarity! It's incredibly user-friendly, and I would recommend it to anyone.

Rating Distribution

Ease of use

10

Value for money

10

Customer Support

10

Functionality

10

Frequently Asked Questions

Does MedClarity have an app?

No, MedClarity does not have a dedicated app.

Who are the typical users of MedClarity?

Typical users of MedClarity EHR include chiropractic, neurology, dermatology, podiatry, osteopathic, cardiology, and oncology departments.

What languages does MedClarity support?

MedClarity supports the English language.

Does MedClarity support mobile devices?

Yes, MedClarity can be accessed on mobile devices through a web browser.

What level of support does MedClarity offer?

MedClarity offers support through several options, including 24/7 customer support, phone, email, live chat, and an online contact form.

How much does MedClarity cost?

MedClarity pricing is estimated at $300–$1,200/provider/month, varying based on practice size, usage, integrations, and service bundling. Get a detailed MedClarity cost breakdown to make an informed decision.

Is MedClarity free?

No, MedClarity is not free.

What other apps does MedClarity integrate with?

MedClarity offers integration with 30+ EHR platforms. However, the vendor has not publicly disclosed its third-party integrations.

Does MedClarity offer an API?

No, MedClarity does not offer an API.

What type of pricing plans does MedClarity offer?

MedClarity offers customized pricing plans based on the specific requirements of medical practice.

Is MedClarity a technology-only solution for practice management?

Yes, MedClarity is a technology-only solution designed to improve practice management through advanced analytics, billing processes, and scheduling tools.